Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.70 / $265.57 / $265.57	Facility	26	$89.70	$265.57	$265.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.57 / $368.37 / $1,146.80	Professional		$239.57	$368.37	$1,146.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.71 / $65.54 / $183.36	Professional	26	$53.71	$65.54	$183.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.86 / $306.18 / $963.40	Professional	TC	$185.86	$306.18	$963.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.09 / $48.15 / $110.46	Professional	26	$46.09	$48.15	$110.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $441.61 / $640.33	Professional		$206.69	$441.61	$640.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.58 / $123.02 / $173.97	Professional	26	$57.58	$123.02	$173.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.12 / $318.60 / $456.84	Professional	TC	$149.12	$318.60	$456.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.08 / $86.08 / $86.08	Facility	26	$86.08	$86.08	$86.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $501.70 / $905.20	Professional		$285.95	$501.70	$905.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.23 / $122.24 / $180.21	Professional	26	$75.23	$122.24	$180.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.33 / $366.83 / $717.72	Professional	TC	$208.33	$366.83	$717.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $420.52 / $779.45	Professional		$236.62	$420.52	$779.45
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $65.91 / $117.14 / $217.11	Professional	26	$65.91	$117.14	$217.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $170.71 / $303.39 / $562.34	Professional	TC	$170.71	$303.39	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $437.16 / $826.02	Professional		$312.02	$437.16	$826.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.94 / $83.46 / $194.56	Professional	26	$65.94	$83.46	$194.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.63 / $272.66 / $631.46	Professional	TC	$205.63	$272.66	$631.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $194.77 / $268.14 / $404.32	Professional		$194.77	$268.14	$404.32
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $48.49 / $60.61 / $83.40	Professional	26	$48.49	$60.61	$83.40
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $146.28 / $181.39 / $329.90	Professional	TC	$146.28	$181.39	$329.90